伝染性紅斑
WordNet
- of or relating to infection; "infectious hospital"; "infectious disease"
- caused by infection or capable of causing infection; "viruses and other infective agents"; "a carrier remains infective without himself showing signs of the disease" (同)infective
- easily spread; "fear is exceedingly infectious; children catch it from their elders"- Bertrand Russell
PrepTutorEJDIC
- (病気が)伝染する,伝染性の / (影響などが)感化しやすい,うつりやすい
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- 1. HIVに感染していない患者のスルホンアミド系薬剤アレルギーsulfonamide allergy in hiv uninfected patients [show details]
…HIV, as patients with this infection are markedly more susceptible to sulfonamide reactions . However, this review focuses on sulfonamide allergy in patients without HIV infection. A variety of hypersensitivity …
- 2. ST上昇型急性心筋梗塞での血栓溶解療法:効果の指標fibrinolytic thrombolytic agents in acute st elevation myocardial infarction markers of efficacy [show details]
…beginning of systole) . The TMP grade is a simple angiographic method that was developed to characterize myocardial perfusion. The TMP grade classification is : TMP grade 0 indicates no apparent tissue …
- 3. 急性ST上昇型心筋梗塞におけるプライマリ経皮的冠動脈インターベンション後の適正でない再灌流suboptimal reperfusion after primary percutaneous coronary intervention in acute st elevation myocardial infarction [show details]
…microvascular perfusion include the TIMI frame count and the TIMI myocardial perfusion (TMP) grade (or myocardial blush grade) . The definition of these variables and their predictive value after fibrinolysis …
- 4. ST上昇型心筋梗塞における血栓溶解療法の失敗または切迫再梗塞のマネージメントmanagement of failed fibrinolysis thrombolysis or threatened reocclusion in acute st elevation myocardial infarction [show details]
… and a significantly higher rate of abnormal TIMI myocardial perfusion grades 0/1/2 (69 versus 53 percent).… Neutralizing antibodies that may be present because of prior streptococcal infection or prior streptokinase therapy may limit the effectiveness of streptokinase.…
- 5. 急性心筋梗塞:糖尿病患者acute myocardial infarction patients with diabetes mellitus [show details]
…toward increased mortality in the diabetic patients. Similar findings in diabetics (reduced myocardial blush grade and impaired ST segment resolution after primary PCI) were noted in another report . …
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★リンクテーブル★
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- 英
- slapped cheek disease, slap cheek, infectious blushing
- ラ
- erythema infectiosum
- 同
- リンゴ病、第五病 fifth disease、
- 関
- B19ウイルス
特徴
- 発疹。骨髄赤芽球前駆体への親和性
- 発症前にウイルスが排出されるため感染予防が難しい。
- 2-7歳の幼児に多く。発熱。
- 成人では症状は出にくい:赤い紅斑はない。関節痛や関節炎が起きやすい。
疫学
病原体
潜伏期間
感染経路
症状
- 小児に多い
- 顔面に紅斑が出現し、四肢に網状紅斑が広がる
- レース状紅斑
合併症
経過
- 7-10日:発熱、カゼ様症状。鼻汁、血液、咽頭よりウイルス検出
- 9日:リンパ球減少
- 10-15日:網状赤血球現象。ヘモグロビン減少。IgM・IgG↑。カゼ様症状消失
- 18日頃:発疹。関節炎
検査
予防
- ワクチンなし
- 妊婦は、流行期には小児の多い場所へは近づかない。
- 参考2
- 経胎盤感染
- 妊娠初期(妊娠20週未満):約30%が経胎盤感染し、その1/3が胎児水腫に移行する。すなわち伝染紅斑に罹患した母の10%で胎児水腫(非免疫性胎児水腫)が見られる。
- 妊娠20週以降:母子感染はないとされる。
- 病態生理:貧血に対する心臓の代償的な心拍出量増加がおこるが、ついには代償機構が破綻し心不全(左心不全→右心不全)に至る。
- 胎児に対する検査:(超音波検査)MCA上昇、腹水・胸水・心嚢水の貯留
参考
- http://idsc.nih.go.jp/iasr/19/217/tpc217-j.html
- 2. D.産科疾患の診断・治療・管理 8.合併症妊娠の管理と治療 - 日産婦誌61巻12号
- http://www.jsog.or.jp/PDF/61/6112-625.pdf
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- 関
- communicability、communicable、contagious、epidemic、infectiosity、infectiousness、infective、infectivity、transmissibility、transmissible
[★]
- 関
- erythrogenic、flare、flushing、redness